Remote
Job Type
Full-time
Description
The Credentialing Specialist’s role is to administratively support management and office staff members of Premier Imaging Ventures (PIV) with credentialing which contains a broad scope of duties and responsibilities. The individual will be required to exercise judgment, self-starting and organizational skills, advanced diplomacy, and superior identification and resolution skills.
ESSENTIAL RESPONSIBILITIES
• Provide administrative and operational support to the Director of Quality & Organizational Effectiveness, ensuring effective communication and follow-up on key initiatives.
• Conduct research and compile data to support credentialing and quality assurance activities; provide recommendations and solutions for related issues.
• Assist with the full credentialing lifecycle for physicians, including initial appointments and reappointments, ensuring all required documentation is collected, verified, and maintained.
• Ensure compliance with Medical Staff Bylaws, The Joint Commission (TJC) standards, and all applicable federal, state, and licensing regulations.
• Maintain accurate and up-to-date credentialing records and databases, ensuring documentation is survey-ready at all times.
• Support preparation for accreditation surveys and maintain required documentation in accordance with regulatory standards.
• Stay current on credentialing standards and regulatory changes, ensuring ongoing compliance.
• Maintain strict confidentiality of all physician and credentialing information.
• Perform additional duties and special projects as assigned.
Additional Responsibilities
• Promote a positive, professional, and service-oriented environment in all interactions with staff, physicians, and external partners.
• Support teamwork and collaboration across departments, assisting colleagues as needed.
• Adhere to organizational policies, attendance expectations, and compliance requirements, including safety and workplace programs.
• Participate in required meetings,
Requirements
• Strong understanding of credentialing processes, regulatory standards, and compliance requirements, including The Joint Commission (TJC) guidelines.
• Ability to identify issues, analyze problems, and recommend effective solutions.
• Proactive mindset with initiative to improve administrative processes and support functions.
• Strong organizational skills with the ability to prepare, maintain, and audit records and reports with a high degree of accuracy.
• Effective interpersonal skills with the ability to build and maintain professional relationships with physicians, hospital staff, and external stakeholders.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities and meet deadlines in a detail-oriented, fast-paced environment.
• High level of discretion and commitment to maintaining confidentiality.
EDUCATION & EXPERIENCE
• Diploma or a related field, or equivalent combination of education and relevant experience
• Prior experience in credentialing, healthcare administration, or a related administrative support role preferred
• Willingness and flexibility to perform a wide range of duties as assigned
WORK ENVIRONMENT
The Credentialing Specialist role operates in a professional office or hybrid environment, supporting physicians, administrative staff, and leadership. The position involves extensive computer-based work, including managing databases, documentation, and regulatory records. Work is detail-oriented and deadline-driven, particularly during credentialing cycles and accreditation surveys with organizations such as The Joint Commission. The role requires handling sensitive and confidential information with discretion while maintaining consistent communication and collaboration across departments.
